Exit Interview Questionnaire

EXIT INTERVIEW QUESTIONNAIRE

Employee Name: ______Supervisor Name: ______

Initial employment date: ______Last date of employment: ______

Current position: ______

1. At approximately what point in time did you begin making your decision to resign?

6-9 months ago 3-5 months ago 1-2 months ago other ______

______

2. Please indicate reason(s) below, which contributed to your decision to resign your current position?

Salary Family Responsibilities Job Advancement Dissatisfied/Management Personal Benefits Return to School Job Eliminated Relocation Other – (please explain) ______Health Retirement Military

3. Was there a specific event of issue that prompted your resignation?

Yes No

If yes, please briefly explain: ______

If yes, did you discuss this matter with your supervisor/manager?

Yes No

______Exit Interview Questionnaire Page two (2)

On a scale of 1 to 5, with “1” being poor and “5” being outstanding, please rate the following:

4. Quantity and quality of training received for your position(s) here at Elon.

1 2 3 4 5

______

5. Working relationship with your current supervisor.

1 2 3 4 5

______

6. Working relationship with fellow employees.

1 2 3 4 5 ______

7. Salary for your position.

1 2 3 4 5

______Exit Interview Questionnaire Page three (3)

8. Employee Benefits package.

1 2 3 4 5

Please offer any comments or suggestions for improvement related to the Benefits package. ______

9. Overall workload for your position.

1 2 3 4 5

10. Overall satisfaction and enjoyment in your current position.

1 2 3 4 5 ______

11. Did you encounter any problems in your current position? Yes No

If yes, please briefly comment: ______

12. What did you enjoy most about your employment with Elon?

______Exit Interview Questionnaire Page four (4)

13. What did you enjoy least about your employment with Elon?

______

14. Based upon your experiences here, would you recommend Elon as a potential employer for your friends, relatives, etc.? Yes No

If no, please briefly explain: ______

15. Would you reapply to Elon if a future opportunity arose? Yes No

If no, please briefly explain: ______

Please add any additional comments: ______

Exit interview conducted by: ______

Date/Time: ______

Exit Questionnaire 7/18/01